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HomeMy WebLinkAbout24-4946 ITFF' "POLCERA II I !�� I III I III I IIII III II I . 0 27c
COLLISION REP FIT 1591971
SASE 24-4946 2
INTERSTATE ❑ CITY STREET FIRE ❑
RESULTED
1 STOLEN
STATE ROUTE ❑ OTHER ❑ VFHIr.I F ❑ LOCAL AOENC 4900 3
HIT&RUN CODING
COUNTY RD PRIVATE WAY INVOLVED
2 1 TOTAL#OF OBJECT 1 1 8 28
TRIBAL UNITS OZ STRUCK
RESERVATION
z
3❑ DATE of M M D D Y Y Y Y TIME(2400) COUNTY# MILES CITY#
COLLISION'. 05 - 08 - 2024 1721 17 . N E IN� S 8 W H OF e 1070 3
4❑ ON (PRIMARY TRAFFIC WAY) INTERSECTION ❑✓ NON INTERSECTION ❑
SW GRADY WAY BLOCK NO. e✓ 300 ❑
4a❑ MILEPOST
DISTANCE OF(REFERENCE OR CROSS STREET)
5❑ ❑ FEET e S ❑ W e MAPLE AVE SW
0 4 29
MOTOR PEDAL- DAMAGE THRESHOLD MET PHONE
UNIT 01 VEHICLE ❑ CYCLE El
✓NO D:5103726397 0 11
30
6� LAST NAME CARD FIRSTNAME JENNIFER MIDDLE R 1 1 2 31
INITIAL
STREET ❑1 24925 110TH PL SE APT D CITY KENT ST WA ZIP 980306857 z
NEW ADDRESS
7❑ CDL IGNITION REQUIRED IGNITION PRESENT MEDICAL TRANSPORTED 3
iNTERLOCKYEs NO 1/ INTERLOCKYEs NO�/ YES R No�/
8❑ LRIIVER #
ON DUTY❑ STATUS AIRBAG 2 RESTR 4 EJECT 1 HELMET 2 INJURY 7 NATURE OF INJURIES z❑
USE CLASS C/O CHEST PAIN.EVAL'D BY RRFA
LIC3
ENSE 7SYG115 STATE CA VIN If 5YFBURHEXFP189126
10 9❑ PI
TRAILER STATE TRAILER STATE
11 3 5 PLATE# PLATE# FROM To
TRLR. YRLR. 3 5 33
12 3 5 VIN#' VIN#
FROM TO
❑ VEH.YEAR MAKE MODEL STYLE VEHICLE TOWED TO BLIN T /g[ GOVT.VEHICLE 7 $ 34
13 8 2015 TOYT COROL 4D DAMAGE YES NOBS YES : No✓
REGISTERED OWNER INFO OWNEDBYDRIVER VEHICLE NO. 1
SHADE IN DAMAGED AREA ❑
14 LIABILITY INSURANCE INSURANCE CO GEICO 6125.02.68.38 35
4
IN EFFECT &POLICY# 9TOP
15❑ LE
vEGALLY HICLE 5 36
YES�No D CITATION# 4A0344165 CHARGE FAIL YIELD LEFT TURN MOTOR BOTTOM
STANDING 8 7 6
MOTOR PEDAL- PEDESTRIAN PROPERTY DAM THR OLD MET PHONE
UNIT VEHICLE ❑ CYCLE' ❑ ❑ OWNER ❑ YES 1/ NO D:2069998020
16 a
LAST NAME VICKERS FIRST NAME LEO MIDDLE R
INITIAL
17 STREET I❑ S❑' 720 7TH ST SE CITY AUBURN ST WA ZIP 980026144 4❑ 37
NEW ADDRES
18❑ CDL IGNITION REQUIRED IGNITION PtR-E-S1ENT MEDICAL-T�RANSPORTED � 38
INTERLOCK YEs❑No� INTERLOCK YEs I I NOF YEs t l NoF,/
19 LICENSE# STATE WA SEX M M .C.B. 02 _ 02 _ 1944 39
20❑ ON DUTY STATUS AIRBAG 2 RESTR 4 EJECT 1 H U EET 2 NJAURSY 1 NATURE OF INJURIES ❑ 40
❑21❑ PLATE# 41
C57448V TATE WA VIN# 1FTYR14U41TA52016 1
42
22❑ PLATE# STATE PLATE# STATE
TRLR
23❑ VIN#. IN#. 43
RLR
'
YEAR 2001 MAKE FORD MODEL RANGER STYLE PK VEHICLE TOWED ToffBLIN TOWED BY GOV HI 44
VEH
24❑ DAMAGE YES NO YES NO
REGISTERED OWNER INFO LEO VICKERS 7207TH ST SE AUBURN WA 98002 D:2069998020 VEHICLE NO.2
SHADEDAMAGEDAREA
3 4
LIABILITY
INSURANCE INSU PORGY#E CO GEIC04097-54-11-99IN 9TOP 5
'E""LE ❑ ,J� CITATION# CHARGE io BOTTOM
LEGALLY YES N J
25 e
OFFICER'S NAME(PRINT) OFFICER PHONE BADGE OR ID# AGENCY
26
MATTHEW NUGENT 11498 WA0171300
PART A PAGE 01 OF
3000-345-159 OR 11/181
STATE OF
POLICETRAFFICN CORRECTION REPORT NO. EE75531
COLLISION REPORT III III III III III 111
1591972 CASE# 24-4946
ADDITIONAL PERSONS INVOLVED PASSENGERS AND/OR WITNESSES ONLY)
NAME
(LAST FIRST,MIDDLE INITIAL)_
ADDRESS&PHONE#
SEX D.O.B. - -
MMDDYYYY.
PASSENGER❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT ' HELMET INJURY NATURE OF INJURIES
PM USE CLASS
NAME
'(LAST,FIRST MIDDLE INITIAL)
ADDRESS&PHONE# D D B
SEX MMDDYYYY
PASSENGER ❑WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET INJURY NATURE OF INJURIES
POS. USE CLASS
NAME
(LAST FIR57 MIDDLE INITIAL)
AppRESS R PHONE#
SEX D.O.B.
MMDDYYYY. -
PASSENGER WITNESS UNIT# SEAT AIRBAG RESTR. EJECT HELMET NJURY NATURE OF INJURIES
❑ ❑ POS. USE CLASS ----�
NARRATIVE'
Please see subsequent narrative pages
I CERTIFY(DECLARE)UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
MATTHEW NUGENT 05-08-24 07:02 PM
INVESTIGATING OFFICER'S SIGNATURE UNIT OR DIST DET DATED PLACE SIGNED
APPROVED BY DATE
CO.JOHNSON 0505 1 51912024 2:09:49 PM
BADGE OR ID# 11498 ORI# WA0171300 TIME POLICE DISPATCHED 5:24 PM TIME POLICE ARRIVED',5:32 PM
PART I PAGE IT]OF 4�
REPORT NO. EE75531 CASE# 24-4946 OF COLLISION
05/08/24 17:21
OF CbLLI510N
NARRATIVE
24-4946
On 05/08/2024 at approximately 1724 hours, I was dispatched to a blocking vehicle collision at the
intersection of SW Grady Way and Maple Avenue SW, within the City Limits of Renton, County of
King, State of Washington.
Upon my arrival, I observed moderate mechanism to the involved vehicles as well as one of the
involved parties complaining of chest pain. I requested the Renton Regional Fire Authority (RRFA)
respond to the scene for evaluation. While on scene, I collected each of the involved party's driving
information and their independent recollection of the events leading up to the collision.
The driver of Unit#1 stated that she was the sole occupant of her vehicle and was traveling
westbound in about the 300 block of SW Grady Way approaching the intersection of Maple Ave SW.
The driver of Unit#1 had pulled into the center left-turn lane and stopped to yield to backed up traffic
for an upcoming left-turn at the intersection. The driver of Unit#1 stated she intended to turn
southbound onto Maple Ave SW. I verified the intersection that Unit#1 was approaching was
uncontrolled. The driver of Unit#1 stated that lanes 2 of 3 and 3 of 3 of eastbound SW Grady Way
had created a gap in traffic to allow for Unit#1 to proceed. The driver of Unit#1 proceeded to make
the left turn across the eastbound lanes of travel. While Unit#1 was doing so, she noticed Unit#2
approaching eastbound on SW Grady Way but in lane 1 of 3. The driver of Unit#1 stated that both
vehicles collided in lane 1 of 3 of the eastbound lanes of SW Grady Way causing significant damage
to the front bumper and passenger side axle/wheel bearing of Unit#1. The driver of Unit#1 was
evaluated for injuries and released at the scene regarding the above-mentioned complaints of pain.
The driver of Unit#2 said he was the sole occupant of his vehicle and was traveling eastbound in
about the 300 block of SW Grady Way approaching the uncontrolled intersection of Maple Ave SW in
lane 1 of 3. The driver of Unit#2 stated he was intending to continue east. The driver of Unit#2 stated
as he continued going straight through the uncontrolled intersection, Unit#2 saw Unit#1 turn in front
of his vehicle. The driver of Unit#2 stated he was unable to avoid the collision and struck Unit#1
causing moderate damage to the front of Unit#2.
Based on the above statements, I determined that the Driver of Unit#1 (Card) was the predominant
factor for the collision by violating RCW 46.61.185 due to not granting the right of way during a left-
turn causing a collision. The driver of Unit#1 did not grant the right of way to Unit#2 traveling in the
roadway which had the right of way and was already underway. Due to Unit#1 having to traverse
across oncoming traffic, the driver of Unit#1 must wait until the intersection is clear of hazard prior to
proceeding.
I cited Card via mail for not granting right of way during a left turn.
Unit#1 had to be impounded due to extensive damage cause. Unit#2 was able to be driven away
from the scene without further incident. An exchange of information was provided to all involved
parties.
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the
foregoing is true and correct.
Electronically signed by Officer M. Nugent#11498 5/8/2024 6:59 PM Renton, King County, WA.
PAGE 3 OF 4
REPORT NO. EE75531 CASE# ' 24-4946 DATE AND TIME 05/08/24 17:21
OF COLLISION
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